CAROL D JACKSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023180

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

JACKSON

Suffix

DDS

Business Name

CAROL D JACKSON DDS

Original Issue Date

03/16/1993

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/31/2018